Permit CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
6 1 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE PERMIT ISSUED: 10/1:% : 8-0435
0 / 1 2 -0435
PARCEL: 2S102BD -00701
SITE ADDRESS...: 12785 SW PACIFIC HWY
SUBDIVISION • NO. TIGARDVILLE ADDITION AMEND ZONING:C —G
BLOCK LOT •008 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST • 0 sf N: S: E: W:
•
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.: 5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:A3 TOTAL . 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REDD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: - 0
VALUE. $ : 1325
Remarks : Installation of fire sprinkler syste.. - Type 1 Hood System
Owner: FEES
WENDY'S type amount by date recpt
555 S RENTON VILLAGE PL #2000 PRMT $ 25.00 JSD 10/02/98 98- 309685
RENTON WA 98055 5PCT $ 1.25 JSD 10/02/98
98- 309685
FIRE $ 10.00 JSD 10/02/98 98- 309685
Phone #: 425 - 235 -8570
Contractor:
SANDERSON SAFETY SUPPLY CO.
1101 SE 3RD ST
PORTLAND OR 97214
Phone #: 238 -5700 S 36.25 TOTAL
Reg #..: 000649
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Sprinkler Rough —
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952- 00101987.
You •any obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
/
Permittee Signature: //.�_;,� ",�� Issued By: k
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
• Fire Protection Permit Application Plan Check# / ° 07
CITY OF TIGARD Commercial or Residential V t Recd By 1 ;� �
13125 SW HALL BLVD. it � ,a�� d Date Recd 0 °
TIGARD, OR 97223 a Print or Type Date to P.E. /O - - 8
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST /O / 2 ti fl_ 41r-
Permit # Au.P9Y - S
Called
J Name of Development/Proot ' ect
Type of System (Complete A or B as applicable)
W6 f S "
Address Address A.) Sprinkler Wet 0 Dry p
/ 2 79r s JA Oc/i& ,Iby
Name Standpipes
lJ afT zIII 7Z,
Owner Mailing Address Hazard Group
C.! _Crf ' ,PXmtek /Ai / IC # 4 . ) Additional
j
ty /Sta , Zip Phone Information Density
/ :■ 1 L -7170
-Name Design Area
Occupant Mailing Address K Factor
I T5 - 5 � 114,/, C / ta one A.1) Sprinkler Project Valuation $
z64e - ' 0 /7o - ,i z.
Contractor am AAAA e � Zip ��� o / B.) Fire Alarm
(Sprinkler or 5//V� rod( per' 5ahry
Alarm Company) Mail Address / Submittal Shall Include Battery Calculations YES 0
Prior to permit / / . 5,,e-, ,e0
issuance, a City/State Zip Phone Individual Component YES ❑
copy I �/1 /? 2, Cut Sheets
of all licenses � /�4 X- l 27 17 o O
.B.1) Fire Alarm Project Valuation $
are required if i State Const. Cont. Board Lic.# Exp. Date
expired in COT
database 6 W 6� 1-A1-610 Project Valuation Subtotal (A & or B) $ /4.c 00
Name
/VOtr/ Permit fee based on valuation $ 0
Architect Mailing Address (see chart on back) �� Q
5% Surcharge $ / /if
City/State Zip Phone FLS Plan Review 40% of Permit $
/ /� •Do
Describe work A.) New O'''
Addition O Alteration O Repair O T OTAL $
to be done: ,"/ ` -
B.) Modification to sprinkler heads only: Plans required: Submit three sets of plans, including a map and 1. 1 -10 heads= No plans required q P 9 vicinity P
2. 11 += Plan review required the location of the nearest hydrant.
I hereby acknowledge that I have read this application, that the information given is
Number of sprinkler heads: correct. that I am the owner or authorized agent of the owner, and that plans submitted
Additional Description of Work: are in compliance with Oregon State laws.
7 yrin7 Ai, g - 7yr' l o Signa o O wn A nt Date
A.) In Existing Building ew Building 0 �7_ �� ' /, 1--T 7
Building Contac Person me Phone
Data B.) Commercial Residential 0
®d / / 29 7 -7780 *, 7 0
OR OFFICE USE ONLY:
No. of stories: / Plat # MapiTL#:
Sq. Ft:
Notes
Occupancy Class Type of Construction
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CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
•
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40 %) (5 %) FEES
1 -1500 25.00 10.00 1.25 36.25
1,501-1600 26.50 10.60 1.33 38.43
1,601 -1,700 28.00 11.20 1.40 40.60
1,701-1,800 29.50 11.80 1.48 42.78
1,801-1,900 31.00 12.40 1.55 44.95
1,901-2,000 32.50 13.00 1.63 47.13
2,001-3,000 38.50 15.40 1.93 55.83
3,001 - 4,000 44.50 17.80 2.23 64.53
4,001 -5,000 50.50 20.20 2.53 73.23
5,001-6,000 56.50 22.60 2.83 81.93
6,001-7,000 62.50 25.00 3.13 90.63
7,001 -8,000 68.50 27.40 3.43 99.33
8,001 -9,000 74.50 29.80 3.73 108.03
9,001- 10,000 80.50 32.20 4.03 _ 116.73
10,001- 11,000 86.50 34.60 4.33 125.43
11,001- 12,000 92.50 37.00 4.63 134.13
12,001- 13,000 98.50 39.40 4.93 142.83
13,001- 14,000 104.50 41.80 5.23 151.53
14,001- 15,000 110.50 44.20 5.53 160.23
15,001- 16,000 116.50 46.60 5.83 168.93
16,001- 17,000 122.50 49.00 6.13 177.63
17,001-18,000 128.50 51.40 6.43 186.33
18,001- 19,000 134.50 53.80 6.73 195.73
19,001- 20,000 140.50 56.20 7.03 203.73
20,001-21,000 146.50 58.60 7.33 212.43
21,001-22,000 152.50 61.00 7.63 221.13
22,001- 23,000 158.50 63.40 7.93 229.83
23,001- 24,000 164.50 65.80 8.23 238.53
24,001- 25,000 170.50 68.20 8.53 247.23
25,001- 26,000 175.00 70.00 8.75 253.75
26,001- 27,000 179.50 71.80 8.98 260.28
27,001- 28,000 184.00 73.60 9.20 266.80
28,001- 29,000 188.50 75.40 9.43 273.33
29,001- 30,000 193.00 77.20 9.65 279.85
30,001- 31,000 197.50 79.00 9.88 286.38
31,001-32,000 202.00 80.80 10.10 292.90
32,001- 33,000 206.50 82.60 10.33 299.43
33,001 - 34,000 211.00 84.40 10.55 305.95
34,001- 35,000 215.50 86.20 10.78 312.48
•
35,001- 36,000 220.00 88.00 11.00 319.00
36,001- 37,000 224.50 89.80 11.23 325.53
37,001- 38,000 229.00 91.60 11.45 332.05
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
• 24 -Hou} Inspection Line: 639 -4175 Business Line: 639 -4171
45/042 / Date Requested //Z - 16—Fe? AM Y PM BLD
Location /2 785 /hay Suite MEC
Contact Person ei / /day 238 PLM
Contractor 4 t77 / 7 /.! erl ' i= Ph /01 SWR
BUILDING Tenant/Owner .- 7d ( ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: ,,rr�� ��--�� , SGN
Slab K Gix�.f �s 9 �� �'I SIT
Post & Beam 72/ 7 S
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire Alarm 1 /
Susp'd Ceiling
Roof C l-MA /V 1
SS RT FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA y�
Approach /Sidewalk Date J 2 -- - /' — 9 er Inspector , /t ( - Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.